持续性护理人文关怀在提高PICU住院患儿家属满意度中的应用

目的：将持续性护理人文关怀在提高PICU住院患儿家属满意度中的应用进行对比分析。方法选取2014年6月至2015年6月我院收治的130例PICU住院患儿家属，按照数字表法随机分为干预组和对照组，每组65例。两组患儿均依照病情变化，进行常规治疗及护理。干预组患儿在常规护理基础上，采用持续性护理模式进行全方位护理。对比两组患儿及家属一般资料、入院后1 d、3 d及出院24 h后Zung评分情况、患儿家属离院1个月后C-CCFSS评分比较。结果两组患儿及家属一般资料差异较小，不具有统计学意义( P>0.05)。两组患儿家属入院后1 d的Zung评分情况较接近，差异无统计学意义( P>0.05)；干预组患儿家属经护理干预后3 d及出院24 h后Zung评分(68.17±4.25)分、(44.53±1.17)分均明显低于对照组(70.01±2.32)分、(53.27±1.82)分，其差异具有统计学意义( P<0.05)；干预组患儿家属离院1个月后C-CCFSS评分明显高于对照组，差异有统计学意义( P<0.05)。结论应用持续性护理人文关怀对PICU住院患儿家属进行全方位护理，患儿家属满意度较高，能有效提高Zung评分情况，短期临床效果较好，但远期的临床效果仍然需要通过延长随访时间和加大样本量来进行证实。

Application of persistent nursing humanistic care on improving the satisfaction of PICU hospitalized children's family

Objective To compare and analyze the application of persistent nursing humanistic care on impro-ving the satisfaction of PICU hospitalized children's family. Methods A total of 130 family members of PICU hospital-ized children received from June, 2014 to June, 2015 were selected, divided into intervention group and control group according to number table randomly, and 65 patients in each group. Regular treatment and nursing care were conducted to the children of two groups according to change of illness. Persistent nursing mode was used to have comprehensive nursing care for the children of intervention based on usual care. The general information, Zung scoring 1 day and 3 days after admission to hospital and 24 hours after discharge from hospital and C-CCFSS scoring 1 month after children' s family members left hospital were compared for the children and family members of two groups. Results The general information difference of the two groups of children and family members was small, which had no statistical significance. Zung scoring was close 1 day after two groups of children and family members were hospitalized, and the difference had no statistical significance. 3 days after nursing intervention and 24 hours after discharge, Zung scores (68. 17±4. 25) and (44. 53±1. 17) of family members of children in intervention group were significantly lower than that of the control group's (70. 01±2. 32) and (53. 27±1. 82), and the difference had statistical significance (P<0. 05) . C-CCFSS score was significantly higher than control group 1 month after the family members of children of intervention group left hospital, and the difference had statistical significance ( P<0. 05 ) . Conclusions For the persistent humanistic nurs-ing care applied to have comprehensive care for the family members of PICU hospitalized children, the satisfaction of the family members of children is higher, which can effectively improve Zung scoring, and the short-term effect is good. However, the long-term clinical effects still needs to be demonstrated by extending follow-up visit and increasing sample size.